Top

40

Doctor insights on:
Infertility

Infertility (Overview)

Infertility = inability to conceive or if a woman under age 35 - not being able to get pregnant after having regular sex for a year without birth control use. For a woman over 35 years old is not being able to get pregnant after having regular sex for 6 months.

1

SOMETIMES:
Women who have endometriosis will have more difficulty getting pregnant then those that do not have endometriosis. Endometriosis will make you less fertile not sterile. So some women do get pregnant despite endometriosis. The more severe the disease the less likely pregnancy will occur on its own. If you have endometriosis try for 6 months to get pregnant and if you don't then see a fertility dr.
...Read more

Infertility (Overview)

Infertility = inability to conceive or if a woman under age 35 - not being able to get pregnant after having regular sex for a year without birth control use. For a woman over 35 years old is not being able to get pregnant after having regular sex for 6 months.

2

Sometimes:
A varicocele is a mass in the scrotum caused by defective valves in the testicular veins, which cause blood to pool, and the veins to expand. The pooling blood raises testicular temperature and affects testosterone and sperm production, which can affect fertility. Men can still have babies w/ this, but the odds are lower. Tx safely w/ varicocelectomy, ligation, or embolization.
...Read more

5

Variable:
The doctor who can accurate predict the answer to this question will quickly become famous and wealthy :). This is because the answer depends on the type of treatment used and a host of factors specific to each individual woman.
...Read more

8

Not fathering kids:
The only symptom of infertility is not being able to successfully sire children. However, there are a host of medical conditions associated with male factor infertility that may present wiith symptoms in other organ systems.
...Read more

9

Absolutely NO:
The idea that suction abortion causes uterine scarring has long been found to be false. Uterine scarring has happeded in postpartum (after delivery) curretting especially in the presence of infection. Should a patient have a pre-existing bacterial infection does increase concern but all patients are pre-treated with antibiotics prior to surgery minimizing infection to nearly zero.
...Read more

14

Depends:
The diagnosis of unexplained infertility has become less and less in recent years. With the advent of laparoscopy to evaluate pelvic endometriosis and pelvic adhesions and also ovarian reserve testing more abnormalities are found and able to be corrected. Even with the diagnosis of unexplained infertility the present-day technology will still give you a very good chance of conceiving.
...Read more

15

It depends:
The primary test for men is the semen analysis, best done by a fertility specialist. For women, you can do your own ovulation predictor kit and see if you are ovulating. There is an office test called femvue to see if your fallopian tubes are open. There are also blood tests to evaluate your hormones. You may enjoy my book tick tock www.Ticktock.Ws, about my own infertility journey.
...Read more

17

Maybe.:
There are many theories why varicocele may cause reduction in count, motility and normal shaped sperm. Although surgical repair of varcocele may improve sperm parameters there is no evidence that it increase the chance of pregnancy in female partners. The decision to repair varicocele to enhance fertility in men is not supported by strong scientific evidence.
...Read more

18

Yes.:
Yes, especially if they are very large growing inside of the uterine wall, or growing in the endometrial lining. Surgical removal is usually quite successful. Remember though only 10-15% of all fibroids cause infertility.
...Read more

19

3 main causes :
Infertility is complicated but there are three main causes. 1. Ovulation problems. You have to release an egg to be able to get pregnant 2. Sperm problems - you have to have available sperm to fertilize the egg. 3. Anatomy problems - there has to be a clear path for the sperm to be able to fertilize the egg.
...Read more

20

Fertility eval:
After considering your menstrual and general medical history, blood tests for endocrine/hormonal problems, hsg to evaluate tubes, often ultrasound for anatomical evaluation. Not female, but sperm count for male partner is just as important.
...Read more

22

Yes possibly:
Ngu can be caused by chlamydia, which is an infection that is very damaging to the female reproductives organs particularly. Chlamydia can also be silent in women, so they do not realize that they have an infection. The more infections then the larger the risk of infertility. Get prompt treatment and try to avoid any additional infections. Best wishes.
...Read more

23

Semen analysis:
All male fertility evaluation starts with a semen analysis, and usually ends there. Men needing further evaluation may include consultation with a urologist, scrotal ultrasound, testicular biopsy, and the list goes on. For costs you need to inquire locally because they vary; in our area semen analysis is usually in the $100-$200 range.
...Read more

25

Consult an MD:
Basic testing can be performed by your obgyn, more advanced testing/treatment is usually done by a reproductive endocrinologist. If there is male factor, usually urologists will work-up the male.
...Read more

27

Possibly :
Laptops when used excessively on the lap and over the scrotum can lead to increased heat and electromagnetic frequency radiation around the scrotum and testes. Also, wifi devices could have an effect
see this link for an article on the topic of electronic/mobile devices and male fertility.
http://www.healthymerlin.com/wp/wp-content/uploads/2013/02/the-daily-reception-vs.-conception.pdf.
...Read more

30

Not necessarily:
You may just be experiencing anovulatory bleeding, i.e. You don't ovulate. This is common with pcos. You can't get pregnant if you don't ovulate, however this can be achieved with the help of your gynecologist or fertility specialist.
...Read more

33

See urologist :
Management of "male infertility" depends on the nature and etiology of male infertility. For example, mildly decreased sperm count or severe (no sperm). There are several causes for having a low sperm count. Best to seek a urological evaluation to possibly determine the cause of an abnormal semen analysis. The etiology will determine the best option to correct the problem, if possible.
...Read more

Need to get checked:
Chlamydia infections are very common (3 million infections a year in us) and may cause infertility due to blocked tubes, scarring around the tubes or ovaries or low egg supply. Not all women with chlamydia have fertility issues - an infection in your cervix doesn't always damage the tubes. A hysterosalpingogram or hsg test checks your tubes; a fertility specialist can check you for low egg supply.
...Read more

35

Maybe:
If you are having ovulatory dysfunction and not ovulating on a regular basis and you have an abnormal glucose to Insulin ratio, then the addition of metformin may help to improve response rates with ovulation induction meds and maybe could cause ovulation without any meds. Hope this helps.
...Read more

38

Reframe question:
Only a small number of men benefit from medication to improve fertility. If the man does not have reproductive hormones, then replacement (injections) can allow him to produce sperm. Some men who take steroids have few or no sperm - stop hormones and sperm return. Usually poor quality sperm do not benefit from tablets. See a specialist for more details. Best wishes.
...Read more